Wisconsin procedure costs
142 hospitals · 2,290 Medicare providers · 4,079 procedure codes with Wisconsin locality adjustments.
The short answer
Wisconsin has 142 hospitals and 2,290 Medicare-billing providers across 4,079 procedure codes. The average Medicare payment per procedure is $201.63; the average submitted (billed) charge is $2,513.09.
- Procedure codes
- 4,079
- Providers per hospital
- 16.1
- Billed-to-Medicare ratio
- 12.5x
- Markup rank
- #2 of 56
Source: CMS Medicare Physician & Other Practitioners, 2023.
About this dataset, nationwide
According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.
Wisconsin against every US state
Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions
$202 higher than 32% of 56 states
Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Physician & Other Practitioners, 2023
The priciest procedures in Wisconsin
Highest average Medicare payment per procedure billed in Wisconsin. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.
Top procedures by Medicare payment - Wisconsin
The cost spread in Wisconsin
The highest- and lowest-paying procedures Medicare reimbursed in Wisconsin, side by side.
Most expensive
Least expensive
Top Procedures by Volume
Wisconsin Healthcare Cost Landscape
CMS lists 142 hospitals in Wisconsin across 109 cities. MILWAUKEE holds 8 (6%). The three densest cities together hold 14% of the state roster. Statewide that is 2,290 Medicare-billing providers, 16.1 per listed hospital.
66 hospitals carry a CMS overall star rating (13 five-star, 30 four-star, 19 three-star, 3 two-star, 1 one-star) ; five-star share among rated facilities is 20%. 76 hospitals in this extract have no published overall rating.
Facility-type mix: Acute Care Hospitals 65 (46%); Critical Access Hospitals 58 (41%); Psychiatric 14 (10%); Acute Care - Veterans Administration 3 (2%).
Among the 30 highest-volume procedure codes billed in Wisconsin, Drugs (Administered) leads with 4.8M services (30% of this top-volume slice) across 10 codes. Next is Office Visit at 13%.
Submitted charges average $2,513.09 against $201.63 Medicare payment (12.5x billed-to-Medicare). That ratio ranks #2 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #38 of 56.
Volume leaders are not the high-payment codes. Ground Mileage, Per Statute Mile is in the top volume slice but not the highest Medicare payments; Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel is in the high-payment set without matching volume rank.
These are CMS roster and claims aggregates for Wisconsin, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.
Where Wisconsin hospitals sit
City of the CMS hospital roster, not a travel or care recommendation. 109 distinct cities appear on 142 listed facilities.
| City | Hospitals | Share of state roster |
|---|---|---|
| MILWAUKEE | 8 | 6% |
| GREEN BAY | 7 | 5% |
| MADISON | 5 | 4% |
| APPLETON | 2 | 1% |
| EAU CLAIRE | 2 | 1% |
| FOND DU LAC | 2 | 1% |
| JANESVILLE | 2 | 1% |
| KENOSHA | 2 | 1% |
Nationwide states with similar hospital scale or Medicare payment
Two CMS-extract-derived peer sets for Wisconsin: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.
Similar CMS hospital count
Nearest states with ≥5 hospitals (142 here).
Similar average Medicare payment
Nearest states with published averages ($201.63 here).
Hospitals in Wisconsin
How Wisconsin Compares Nationally
Wisconsin's average Medicare payment is #38 of 56 in this extract. Submitted-over-Medicare markup ranks #2 of 56 (12.5x). Hospital-count peers (nearest CMS roster size to 142): Kansas 138, Georgia 148, Michigan 148, Minnesota 136. Payment peers (nearest average Medicare payment to $201.63): Iowa $198.45, Delaware $208.28, Alabama $211.12, Montana $191.94.
Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Wisconsin, not an out-of-pocket quote.
Related registry pages
Wisconsin averages sit on two maps: Medicare payment and submitted-over-Medicare markup.
- Procedure codes billed in this extract, in national volume order. Browse procedures
- State payment rank versus markup rank on the rankings hub. Rankings
- How these figures are sourced. Methodology
Figures here are Wisconsin CMS averages, not a quote for any patient, plan, or visit.
Read our methodology - how this data is sourced, computed, and verified.
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.